Larry C Nickens
MD | Pediatrics | Male
Larry C Nickens, MD is a Goldsboro, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Larry C Nickens is
2706 Medical Office Place, Goldsboro, North Carolina - 27534-9460. He can be contacted on phone at
919-734-4736 and fax number 919-580-1017.
Larry C Nickens is a sole proprietor of his business.
NPI number (Unique professional ID) for Larry C Nickens is
1619040532 which was assigned by NPPES on 16 Nov, 2006 and it was last updated on 14 Jun, 2011.
Larry C Nickens license number is
27762 for Pediatrics (208000000X) in North Carolina.
Larry C Nickens is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Larry C Nickens basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Larry C Nickens |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Larry C Nickens address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2706 Medical Office Place
Goldsboro, NC, 27534-9460
United States |
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| Phone Number : | 919-734-4736 |
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| Fax Number : | 919-580-1017 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619040532 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Nov, 2006 |
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| Last Updated On : | 14 Jun, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry C Nickens are as mentioned. Primary taxonomy code for Larry C Nickens, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 27762 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Larry C Nickens such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 28723 | Other | | MEDCOST |
| 62640 | Other | | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2706 Medical Office Place
Goldsboro, NC, 27534-9460
United States |
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| Phone Number : | 919-734-4736 |
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| Fax Number : | 919-580-1017 |
|---|
Business Location:
Patients can refer following map for directions to
Larry C Nickens practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.